Organization Active NPI

Pathways Behavioral Health Care

  • Adolescent and Children Mental Health Clinic/Center
  • Raymore, MO
National Provider Identifier
1871992206
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
2000165271 Issued in MO
Legal business name
PATHWAYS BEHAVIORAL HEALTH CARE
Practice address
1010 Remington PLZ
Raymore, MO 64083-8640
Phone
(816) 318-4430
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandy Fuller
Title
Billing Clerk
Phone
(660) 890-8076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2000165271 MO Primary
Health Maintenance Organization 302R00000X 2000165271 MO

Addresses

Primary practice location

1010 Remington PLZ
Raymore, MO 64083-8640

Mailing address

211 J St Apt C1
Creighton, MO 64739-9771
Phone (816) 372-2652

National Provider Directory

National Provider Directory

Locations

1010 Remington Plz
Raymore, MO 64083
Phone (816) 318-4430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1871992206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 J ST APT C1",
            "city": "CREIGHTON",
            "state": "MO",
            "postal_code": "647399771",
            "telephone_number": "816-372-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 REMINGTON PLZ",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838640",
            "telephone_number": "816-318-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS BEHAVIORAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "660-890-8076"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MO",
            "license": "2000165271",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "2000165271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.